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Pendekatan Continuity of Care Terhadap Keberhasilan Laktasi pada Ibu Postpartum Nur Ika Sari; Masruroh
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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The postpartum period is an important phase in the success of lactation, especially for primiparous mothers who have no previous breastfeeding experience. The Continuity of Care (CoC) approach is one of the midwifery care models that provides continuous care to improve lactation success. This study used a case study design on Mrs. A, a 24-year-old P1A0 physiological postpartum mother who received care starting from the third trimester of pregnancy, childbirth, postpartum period, until newborn care. Data were obtained through interviews, observations, physical examinations, and medical record documentation. The care provided included lactation education, emotional support, proper breastfeeding techniques, breast care, and oxytocin massage. The results showed that the CoC approach helped improve lactation success, characterized by increased breast milk production each day, active breastfeeding behavior of the baby, absence of breast engorgement, and increased maternal confidence in breastfeeding. Evaluation of breast milk production showed a gradual increase, with approximately 10–15 ml per feeding on the first day in the form of colostrum, increasing to 20–30 ml on the second day, 30–60 ml on the third day, and reaching 60–90 ml per feeding from the fourth to seventh postpartum day. The Continuity of Care approach was effective in supporting lactation success in primiparous postpartum mothers through continuous monitoring, education, and psychological support. Abstrak Masa postpartum merupakan periode penting dalam keberhasilan proses laktasi, terutama pada ibu primipara yang belum memiliki pengalaman menyusui. Pendekatan Continuity of Care (CoC) menjadi salah satu model pelayanan kebidanan yang memberikan asuhan berkesinambungan untuk meningkatkan keberhasilan laktasi. Penelitian ini menggunakan desain studi kasus pada Ny. F usia 26 tahun P1A0 postpartum fisiologis yang diberikan asuhan mulai trimester III kehamilan, persalinan, masa nifas, hingga perawatan bayi baru lahir. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi rekam medis. Asuhan yang diberikan meliputi edukasi laktasi, dukungan emosional, teknik menyusui yang benar, breast care, dan pijat oksitosin. Hasil menunjukkan bahwa pendekatan CoC membantu meningkatkan keberhasilan laktasi ditandai dengan peningkatan produksi ASI setiap hari, bayi menyusu aktif, tidak terdapat bendungan ASI, serta meningkatnya kepercayaan diri ibu dalam menyusui. Evaluasi produksi ASI menunjukkan peningkatan bertahap, yaitu hari pertama sekitar 10–15 ml setiap kali menyusui berupa kolostrum, hari kedua meningkat menjadi 20–30 ml, hari ketiga sekitar 30–60 ml, dan hari keempat hingga ketujuh produksi ASI mencapai 60–90 ml setiap kali menyusui. Pendekatan Continuity of Care efektif dalam mendukung keberhasilan laktasi pada ibu postpartum primipara melalui pemantauan berkelanjutan, edukasi, dan dukungan psikologis.

Asuhan Kebidanan Continuity of Care pada Akseptor KB Implant Pasca Salin di UPTD Puskesmas Jetak Metik Prihandini; Isri Nasifah
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Maternal and neonatal health remain important indicators in improving the quality of public health services. One of the efforts to reduce maternal and infant morbidity and mortality is through comprehensive and continuous midwifery care using the Continuity of Care (CoC) approach. Continuity of Care is a continuous health service provided to mothers from pregnancy, childbirth, postpartum, neonates, until family planning services. Comprehensive care is expected to improve maternal and neonatal health status, prevent complications, detect danger signs early, and provide appropriate management according to the mother’s needs. This study aimed to provide comprehensive midwifery care through the Continuity of Care approach for Mrs. E, 34 years old, G3P2A0 with postpartum implant family planning acceptor at UPTD Puskesmas Jetak. The method used was a descriptive case study with the Varney midwifery management approach and SOAP documentation method. Data collection techniques included interviews, observation, physical examination, and documentation studies. Midwifery care was carried out continuously starting from the third trimester of pregnancy, childbirth, newborn care, postpartum care, until family planning services. The results of the care showed that during pregnancy the mother had a physiological pregnancy without complications. Labor progressed normally and spontaneously with good maternal and fetal conditions. The baby was born healthy, female, cried strongly, had normal vital signs, and no signs of infection or neonatal complications were found. During the postpartum period, uterine involution, lochia discharge, and breastfeeding process progressed normally without complications. The mother also chose implant contraception as a long-term postpartum contraceptive method after receiving counseling regarding contraceptive options, benefits, side effects, indications, and contraindications. The conclusion of this study showed that continuity of care midwifery services from pregnancy, childbirth, postpartum, neonates, and family planning could be implemented properly and continuously according to the mother’s needs. Comprehensive midwifery care was able to maintain maternal and neonatal health conditions optimally and no complications were found during the care process. Abstrak Kesehatan ibu dan bayi masih menjadi indikator penting dalam meningkatkan kualitas pelayanan kesehatan masyarakat. Salah satu upaya untuk menurunkan angka kesakitan dan kematian ibu serta bayi adalah melalui pelayanan kebidanan secara komprehensif dan berkelanjutan dengan pendekatan Continuity of Care (CoC). Continuity of Care merupakan pelayanan kesehatan yang diberikan secara terus menerus kepada ibu mulai masa kehamilan, persalinan, postpartum, neonatus hingga keluarga berencana. Asuhan yang berkesinambungan diharapkan mampu meningkatkan derajat kesehatan ibu dan bayi, mencegah terjadinya komplikasi, mendeteksi tanda bahaya secara dini, serta memberikan penatalaksanaan yang sesuai dengan kebutuhan ibu. Penulisan ini bertujuan untuk memberikan asuhan kebidanan secara komprehensif melalui pendekatan Continuity of Care pada Ny. E umur 34 tahun G3P2A0 dengan akseptor KB implan pasca salin di UPTD Puskesmas Jetak. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan manajemen kebidanan Varney dan pendokumentasian SOAP. Teknik pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Asuhan kebidanan dilakukan secara berkelanjutan mulai dari masa kehamilan trimester III, persalinan, bayi baru lahir, postpartum hingga pelayanan keluarga berencana. Hasil asuhan menunjukkan bahwa selama masa kehamilan ibu mengalami kehamilan fisiologis tanpa komplikasi. Persalinan berlangsung normal spontan dengan kondisi ibu dan janin baik. Bayi lahir sehat berjenis kelamin perempuan, menangis kuat, tanda vital dalam batas normal, serta tidak ditemukan tanda infeksi maupun komplikasi neonatus. Pada masa postpartum, involusi uterus, pengeluaran lochea, dan proses laktasi berlangsung normal tanpa komplikasi. Ibu juga memilih menggunakan kontrasepsi implan sebagai metode KB jangka panjang setelah mendapatkan konseling mengenai pilihan kontrasepsi, manfaat, efek samping, indikasi, dan kontraindikasi KB. Kesimpulan dari asuhan continuity of care ini menunjukkan bahwa pelayanan kebidanan secara berkelanjutan mulai masa kehamilan, persalinan, postpartum, neonatus hingga keluarga berencana dapat dilaksanakan dengan baik sesuai kebutuhan ibu. Asuhan kebidanan komprehensif mampu membantu mempertahankan kondisi kesehatan ibu dan bayi secara optimal serta tidak ditemukan komplikasi selama proses asuhan berlangsung.

Asuhan Kebidanan Continuity of Care pada Ny “T” Usia 23 Tahun G1P0A0 di UPT Puskesmas Kusuma Bangsa Nurul Hidayati Ulfah; Kartika Sari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Maternal and infant mortality rates are one indicator to measure the level of health of a country. Early detection efforts to overcome morbidity and mortality for mothers, babies and toddlers can be carried out by implementing continuous care or Continuity of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, up to family planning. The aim of this research is to provide midwifery care to Mrs. T comprehensively starting from pregnancy, maternity, postpartum, neonates and family planning. The type of descriptive research used is a case study. The research instrument uses a descriptive approach method and is documented in SOAP form. In this care, the author collected data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This research was conducted in October 2025 – April 2026. From the results of providing pregnancy care, a problem was found, namely that the mother experienced discomfort in the third trimester of pregnancy, namely low back pain and was given massage counter pressure and experienced anemia. During labor there were no problems, the mother was given care in accordance with the APN 60 steps. In postpartum care no problems were found. During the care of the newborn, everything was found to be within normal limits, and a SHK examination was carried out. Meanwhile, under KB care, Mrs. T decided to use a contraceptive method, namely the pil progestin. Abstrak Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Tujuan penelitian ini mampu memberikan asuhan kebidanan pada Ny. T secara komprehensif mulai dari kehamilan, bersalin, nifas, neonatus dan KB. jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan Oktober 2025 –April 2026. Dari hasil pemberian asuhan kehamilan ditemukan masalah yaitu ibu mengalami ketidaknyamanan kehamilan trimester III yaitu nyeri pinggang dan diberikan massage counter pressure dan mengalami anemia. Selama persalinan tidak ada masalah, ibu diberikan asuhan sesuai dengan APN 60 langkah. Pada asuhan nifas tidak ditemukan masalah. Pada asuhan bayi baru lahir didapatkan semua dalam batas normal, dilakukan pemeriksaan SHK. Sedangkan pada asuhan KB Ny. T memutuskan untuk menggunakan kontrasepsi yaitu pil progestin.

Asuhan Kebidanan Komprehensif pada Ny S Umur 29 Tahun G2P1A0 di Puskesmas Bojong 1 Kabupaten Pekalongan Mila Cholilah; Rini Susanti
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators of the quality of healthcare services in a country. The 2030 Sustainable Development Goals (SDGs) target is to reduce the MMR to less than 70 per 100,000 live births and the IMR to 12 per 1,000 live births. One effective strategy to achieve this target is through Continuity of Care (CoC). To provide comprehensive and continuous midwifery care (CoC) to Mrs. S, from pregnancy, childbirth, postpartum, newborn care (neonate), to family planning (FP) services at the Bojong 1 Community Health Center in Pekalongan Regency. Method: This research is a case study with a descriptive approach. Data collection was conducted through interviews, physical examinations (inspection, palpation, percussion, auscultation), observations using monitoring sheets/KIA books/partographs, and supporting laboratory tests. Documentation of care was conducted using the SOAP method. Results: Care was provided from December 2025 to March 2026. In the third trimester of pregnancy, Mrs. S complained of frequent urination which is a discomfort in the third trimester. The delivery process was spontaneous and normal at 38 weeks of gestation, with the first and second stages proceeding smoothly, and Early Initiation of Breastfeeding (IMD) was performed. The postpartum period progressed normally, progressing through the taking-in, taking-hold, and letting-go phases. The newborn was in healthy (physiological) condition and had received BCG and Polio 1 immunizations. For family planning care, the mother chose a 3-month injectable contraceptive. Conclusion: Overall, the implementation of Continuity of Care midwifery care for Mrs. S. S has complied with applicable midwifery service standards and theory, and no significant gaps were found between theory and practice in the field. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator utama kualitas pelayanan kesehatan di suatu negara. Target SDGs tahun 2030 adalah menurunkan AKI hingga kurang dari 70 per 100.000 kelahiran hidup (KH) dan AKB hingga 12 per 1.000 KH. Salah satu strategi efektif untuk mencapai target tersebut adalah melalui asuhan kebidanan berkelanjutan. Memberikan asuhan kebidanan secara komprehensif dan berkelanjutan pada Ny. S mulai dari masa kehamilan, persalinan, nifas, bayi baru lahir (neonatus), hingga pelayanan keluarga berencana (KB) di Puskesmas Bojong 1 Kabupaten Pekalongan. Metode: Jenis penelitian ini adalah studi telaah kasus dengan pendekatan deskriptif. Pengumpulan data dilakukan melalui wawancara (interview), pemeriksaan fisik (inspeksi, palpasi, perkusi, auskultasi), observasi menggunakan lembar pemantauan/buku KIA/partograf, serta pemeriksaan penunjang laboratorium. Pendokumentasian asuhan dilakukan dengan metode SOAP. Hasil: Asuhan dilakukan sejak Desember 2025 hingga Maret 2026. Pada kehamilan trimester III, Ny. S mengeluhkan sering BAK yang merupakan ketidaknyamanan trimester III. Proses persalinan berlangsung spontan dan normal pada usia kehamilan 38 minggu dengan kala I dan II berjalan lancar, serta dilakukan Inisiasi Menyusu Dini (IMD). Masa nifas berlangsung normal melewati fase taking in, taking hold, hingga letting go. Bayi baru lahir dalam kondisi sehat (fisiologis) dan telah mendapatkan imunisasi BCG serta Polio 1. Pada asuhan KB, ibu memilih kontrasepsi suntik 3 bulan. Kesimpulan: Secara keseluruhan, pelaksanaan asuhan kebidanan berkelanjutan pada Ny. S telah sesuai dengan standar pelayanan kebidanan dan teori yang berlaku, serta tidak ditemukan adanya kesenjangan yang signifikan antara teori dan praktik di lapangan.

Asuhan Kebidanan Asuhan Kebidanan Continuity of Care pada Ny. S dengan Riwayat Sectio Caesarea Lusiana Tandi Limbong; Ari Widyaningsih
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
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The Maternal Mortality Rate (AMR) and Infant Mortality Rate (IMR) serve as critical indicators of healthcare service effectiveness. In Bulungan Regency, fluctuations in AMR and the elevated risks faced by pregnant women necessitate rigorous attention through continuous care. One strategic approach to early complication detection and reducing AMR/IMR is the Continuity of Care (CoC) model. The objective is to provide comprehensive and sustained obstetric care to Ms.S—from the third trimester of pregnancy through delivery, postpartum recovery, neonatal care, and family planning services at UPTD Puskesmas Tanjung Selor. The methodology employed is the Comprehensive Obstetric Case Management Study (Continuity of Care). The case study involves a 27-year-old woman (G2P1A0) with a prior history of cesarean section (SC). Care was delivered from February to April 2026, encompassing two prenatal visits, delivery assistance, three postpartum recovery visits, and three neonatal check-ups. During the third trimester of pregnancy (gestational age 33+1 weeks), mild anemia was identified with an Hb level of 10.5 g/dL, which was managed with iron tablets, vitamin C, calcium supplements, and nutritional counseling. At the delivery stage (gestational age 38 weeks), due to a history of cervical erosion (SC) and to prevent uterine rupture, the mother was referred for planned delivery via cervical dilation and curettage (D&C) at PONEK Hospital, which proceeded smoothly. During the postpartum period, the mother reported reduced breast milk production on day 14 due to insufficient rest; this was resolved with oxytocin massage therapy. The newborn exhibited normal health, and the umbilical cord detached successfully on day 7. During family planning consultations, the mother received guidance on postpartum contraception methods. The conclusions drawn from the Comprehensive Maternal Care Implementation for Ms.S were conducted in accordance with standard operating procedures and the midwife's professional authority. The entire process, from pregnancy to postpartum recovery, proceeded smoothly without any postoperative complications for either the mother or the baby. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator penting keberhasilan pelayanan kesehatan. Di Kabupaten Bulungan, fluktuasi AKI dan risiko tinggi pada ibu hamil memerlukan perhatian serius melalui asuhan yang berkesinambungan. Salah satu pendekatan strategis untuk mendeteksi dini komplikasi dan menurunkan AKI/AKB adalah melalui pelayanan Continuity of Care (CoC). Tujuan pemberian asuhan kebidanan secara komprehensif dan berkelanjutan (Continuity of Care) pada Ny. S mulai dari masa kehamilan trimester III, persalinan, nifas, bayi baru lahir, hingga pelayanan keluarga berencana (KB) di UPTD Puskesmas Tanjung Selor. Metode yang di gunakan yaitu studi penatalaksanaan kasus kebidanan komprehensif (Continuity of Care). Subjek asuhan adalah Ny. S umur 27 tahun G2P1A0 dengan riwayat persalinan Sectio Caesarea (SC) sebelumnya. Asuhan diberikan mulai Februari hingga April 2026, mencakup 2 kali kunjungan kehamilan, asuhan persalinan, 3 kali kunjungan nifas, dan 3 kali kunjungan neonatus. Pada asuhan kehamilan trimester III (usia gestasi 33+1 minggu), ditemukan masalah anemia ringan dengan kadar Hb 10,5 gr/dl yang ditatalaksana melalui pemberian tablet Fe, vitamin C, kalk, serta edukasi nutrisi. Pada asuhan persalinan (usia gestasi 38 minggu), atas indikasi riwayat SC dan untuk mencegah risiko robekan rahim, ibu dirujuk dan melahirkan secara berencana melalui tindakan SC di RS PONEK berjalan dengan lancar. Pada masa nifas, ibu sempat mengeluhkan ASI keluar sedikit pada hari ke-14 akibat kurang istirahat, yang berhasil diatasi melalui pemberian teknik pijat oksitosin. Asuhan bayi baru lahir (neonatus) menunjukkan kondisi bayi normal dan sehat, serta tali pusat lepas secara normal pada hari ke-7. Pada asuhan keluarga berencana, ibu diberikan konseling mengenai metode kontrasepsi pascapersalinan. Kesimpulan yang diperolah pada Pelaksanaan asuhan kebidanan komprehensif (Continuity of Care) pada Ny. S telah dilakukan sesuai standar operasional dan kewenangan bidan. Seluruh proses dari kehamilan hingga nifas berjalan dengan baik tanpa adanya komplikasi pascaoperasi baik pada ibu maupun bayi.

Asuhan Kebidanan Continuity of Care ( CoC ) pada Ny. A Usia 33 Tahun G2P1A0 di Puskesmas Kesesi 1 Kabupaten Pekalongan Eva Rizqi Arti; Yulia Nur Khayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
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Continuity of Care (COC) midwifery care is a continuous midwifery care provided to mothers and babies starting from pregnancy, childbirth, newborn care, postpartum care, and family planning. The Maternal Mortality Rate (MMR) is one indicator of the success of a country's services. Every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. Approximately 830 women die from pregnancy or childbirth complications worldwide every day. Complications that cause maternal death include severe bleeding after childbirth, infections, high blood pressure during pregnancy (pre-eclampsia and eclampsia), complications from childbirth, and unsafe abortion (WHO, 2019). At the regional level, Central Java Province is still working to reduce this mortality rate. Pekalongan Regency itself recorded data dynamics that require special attention. In 2023, the maternal mortality rate (MMR) in Pekalongan Regency was high, with 34 cases, placing the region second in Central Java (Pekalongan Regency Health Office, 2024). One effective strategy to reduce maternal mortality and infant mortality is through continuous midwifery care, or Continuity of Care (CoC).This study used a descriptive case study approach for Mrs.A, 33 years old, G2P1A0, who received comprehensive midwifery care at Kesesi I Community Health Center. Care was provided from the third trimester of pregnancy, delivery, newborn care, postpartum care, and family planning services. Treatments included a comprehensive assessment, ANC examinations according to the 12T standards, labor monitoring, physiological postpartum care, newborn monitoring, and family planning counseling. Complementary care such as oxytocin massage and prenatal yoga education were also included, as needed by the mother. The entire pregnancy, delivery, postpartum period, newborn care, and family planning services proceeded physiologically without complications. Mothers demonstrated a good understanding of pregnancy danger signs, childbirth preparation, postpartum self-care, exclusive breastfeeding, and infant care. Breast milk production increased after oxytocin massage, infants adapted well, and mothers chose appropriate contraceptive methods postpartum. Comprehensive Continuity of Care midwifery care has proven effective in early risk detection, increasing maternal knowledge, and supporting maternal and neonatal health. The implementation of complementary care such as oxytocin massage also helps optimize breastfeeding and increases maternal comfort. Continuity of Care services need to be continuously implemented as a strategic effort to support the achievement of targets for reducing maternal mortality and infant mortality. Abstrak Asuhan Kebidanan Continuity of Care (COC) merupakan asuhan kebidanan berkesinambungan yang diberikan kepada ibu dan bayi dimulai pada saat kehamilan, persalinan, bayi baru lahir, nifas dan keluarga berencana. Angka Kematian Ibu (AKI) merupakan salah satu indikator keberhasilan layanan suatu negara. Setiap hari, sekitar 830 wanita meninggal karena sebab yang dapat dicegah terkait dengan kehamilan dan persalinan. 99% dari semua kematian ibu terjadi di negara berkembang. Sekitar 830 wanita meninggal karena komplikasi kehamilan atau persalinan di seluruh dunia setiap hari. Komplikasi yang menyebabkan kematian ibu yaitu perdarahan hebat setelah melahirkan, infeksi, tekanan darah tinggi selama kehamilan (pre-eklampsia dan eklampsia), komplikasi dari persalinan, dan aborsi yang tidak aman (WHO, 2019). Di tingkat regional, Provinsi Jawa Tengah masih berupaya menurunkan angka kematian tersebut. Kabupaten Pekalongan sendiri mencatatkan dinamika data yang perlu perhatian khusus. Pada tahun 2023, AKI di Kabupaten Pekalongan tergolong tinggi dengan jumlah 34 kasus, yang menempatkan wilayah ini pada peringkat kedua tertinggi di Jawa Tengah (Dinas Kesehatan Kabupaten Pekalongan, 2024). Salah satu strategi efektif untuk menurunkan AKI dan AKB adalah dengan asuhan kebidanan secara berkelanjutan atau Continuity of Care (CoC). Penelitian ini menggunakan metode penelitian deskriptif dengan pendekatan studi kasus ( Case Study ) pada Ny. A usia 33 tahun G2P1A0, yang mendapatkan asuhan kebidanan komprehensif di Puskesmas Kesesi I. Asuhan diberikan mulai dari kehamilan trimester III, persalinan, perawatan bayi Baru Lahir, masa nifas hingga pelayanan keluarga berencana. Tindakan meliputi pengkajian lengkap, pemeriksaan ANC sesuai standar 12T, pemantauan persalinan, perawatan nifas fisiologis, pemantauan bayi baru lahir, serta konseling KB. Asuhan komplementer seperti pijat oksitosin dan edukasi prenatal yoga juga disertakan sesuai kebutuhan ibu. Seluruh proses kehamilan, persalinan, masa nifas, perawatan bayi baru lahir, dan pelayanan KB berlangsung fisiologis tanpa komplikasi. Ibu menunjukkan pemahaman yang baik mengenai tanda bahaya kehamilan, persiapan persalinan, perawatan diri masa nifas, pemberian ASI eksklusif, serta perawatan bayi. Produksi ASI meningkat setelah pemberian pijat oksitosin, bayi memiliki adaptasi yang baik, dan ibu memilih metode kontrasepsi sesuai kondisi pascasalin. Asuhan kebidanan Continuity of Care secara komprehensif terbukti efektif dalam mendeteksi dini risiko, meningkatkan pengetahuan ibu, serta mendukung kesehatan maternal dan neonatal. Penerapan asuhan komplementer seperti pijat oksitosin turut membantu optimalisasi pemberian ASI dan meningkatkan kenyamanan ibu. Layanan CoC perlu terus diterapkan sebagai upaya strategis dalam mendukung pencapaian target penurunan AKI dan AKB.

Asuhan Kebidanan Komprehensif pada Ny. A Usia 30 Tahun G2P1A0 Usia Kehamilan 22 Minggu di Puskesmas Pimping Kecamatan Tanjung Palas Utara Dwi Ambarwati; Risma Aliviani Putri
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Continuity of Care (COC) in midwifery is a comprehensive and continuous health service provided to women starting from pregnancy, childbirth, postpartum care, newborn care, until family planning services. This approach aims to improve maternal and neonatal health outcomes and reduce maternal and infant mortality rates. This article discusses comprehensive midwifery care for Mrs. A, a 30-year-old pregnant woman with G2P1A0 at 22 weeks of gestation at Puskesmas Pimping, North Tanjung Palas District..The method used in this study was a case study approach through comprehensive midwifery management, including subjective assessment, objective assessment, analysis, and implementation of care. The care was carried out continuously from the second trimester of pregnancy, labor, postpartum period, newborn care, and family planning services. The results showed that both the mother and baby were in good condition throughout the care process. Antenatal care services were conducted according to ANC standards, labor progressed normally, the postpartum period was physiological, the newborn was healthy, and the mother received appropriate family planning counseling and services. In conclusion, Continuity of Care plays an important role in the early detection of complications and in improving the overall health and well-being of both mother and baby. Abstrak Continuity of Care (COC) merupakan pelayanan kebidanan yang dilakukan secara berkesinambungan mulai dari masa kehamilan, persalinan, nifas, bayi baru lahir hingga keluarga berencana. Pelayanan ini bertujuan untuk meningkatkan kualitas kesehatan ibu dan bayi serta menurunkan angka kematian ibu dan bayi. Artikel ini membahas pelaksanaan asuhan kebidanan komprehensif pada Ny. A usia 30 tahun G2P1A0 dengan usia kehamilan 22 minggu di Puskesmas Pimping Kecamatan Tanjung Palas Utara. Metode yang digunakan adalah studi kasus dengan pendekatan manajemen kebidanan secara komprehensif melalui pengkajian subjektif, objektif, analisa, dan penatalaksanaan. Asuhan dilakukan mulai dari masa kehamilan trimester II, persalinan, nifas, bayi baru lahir, hingga pelayanan keluarga berencana. Hasil asuhan menunjukkan bahwa kondisi ibu dan bayi dalam keadaan baik selama proses pelayanan. Pemeriksaan antenatal dilakukan sesuai standar pelayanan ANC, persalinan berlangsung normal, masa nifas berjalan fisiologis, bayi baru lahir dalam kondisi sehat, dan ibu menerima pelayanan keluarga berencana sesuai kebutuhan. Kesimpulan dari asuhan ini adalah pelayanan Continuity of Care sangat penting dalam mendeteksi dini komplikasi serta meningkatkan kesehatan ibu dan bayi secara menyeluruh.

Asuhan Kebidanan Continuity of Care pada Ny “M” Usia 38 Tahun di RSUD Ratu Aji Putri Botung Grace Hanna; Ari Andayani
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Maternal mortality rate (MMR) and infant mortality rate (IMR) still remain major challenges in reproductive health services in various parts of the world. Early detection efforts to address illness or death of mothers, infants, and toddlers can be carried out through one means, namely the implementation of continuous care or Continuity Of Care (COC), which begins from pregnancy, childbirth, postpartum, newborn, up to contraception. The aim of this study is to provide midwifery care to Mrs. M in a continuous and sustainable manner, starting from pregnancy, childbirth, postpartum, neonates, and contraception. The type of descriptive research used is a case study, and the research instrument uses a descriptive approach and is documented in the form of SOAP. In this care, the author collects data through interviews, observations, physical examinations, supporting examinations, documentation studies, and literature review. This study was conducted in the month of March-May 2026. From the provision of pregnancy care, the mother complained of back pain and was given acupressure care. The delivery process was spontaneous with 60 APN steps. Postpartum care went normally, with no signs of complications during the postpartum period. In the care of the newborn, everything was within normal limits; the baby was given 1 mg of vitamin K and hepatitis B0 immunization. For contraception, Mrs. M is using a 3-month injectable contraceptive. Abstrak Angka kematian ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi tantangan besar dalam pelayanan kesehatan reproduksi di berbagai belahan dunia. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Tujuan penelitian ini mampu memberikan asuhan kebidanan pada Ny. M secara kontinue dan berkesinambungan mulai dari kehamilan, bersalin, nifas, neonatus dan KB. Jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan Maret-Mei 2026. Dari hasil pemberian asuhan kehamilan, ibu mengeluh nyeri punggung dan diberikan asuhan akupresure. Proses persalinan secara spontan dengan APN 60 langkah. Asuhan nifas berjalan normal, tidak ditemukan tanda-tanda penyulit pada masa nifas. Pada asuhan bayi baru lahir didapatkan semua dalam batas normal, bayi diberikan asuhan vitamik K 1 mg, imunisasi hepatitis B0. Asuhan KB Ny. M menggunakan KB suntik 3 bulan.

Asuhan Kebidanan Continuity of Care pada Ny. N Umur 26 Tahun G2P1A0 dengan Keputihan Fisiologis Muryati; Rini Susanti
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Maternal and infant mortality rates are one of the indicators for measuring the health status of a country. Early detection efforts to overcome morbidity and mortality for mothers, infants and toddlers can be done by implementing Continuity Of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, to family planning. This study aims to provide comprehensive and continuous midwifery care to Mrs. N from pregnancy, childbirth, postpartum, neonates, to family planning. The study used a descriptive method with a case study approach and SOAP documentation. Data were obtained through interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies in February–May 2026. The results of the care showed that during pregnancy the mother experienced physiological vaginal discharge and was given boiled betel leaf care to wash the intimate organs. The delivery took place normally with the implementation of Normal Delivery Care (APN) and complementary efflurage massage therapy. During the postpartum period, the mother said her breast milk production was low and was given complementary oxytocin massage. Newborn care showed normal conditions with the administration of 1 mg of vitamin K, Hepatitis B immunization, and a SHK examination. In family planning services, the mother chose a 3-month injectable contraceptive. It is recommended that staff continue to improve the quality of midwifery services on an ongoing basis, conduct early detection of danger signs in mothers and babies, provide clear and easy-to-understand IEC, support the success of exclusive breastfeeding, ensure complete postpartum and neonatal visits, and provide individual family planning counseling according to the mother's condition, needs, and preferences so that the health of both mother and baby can be optimally maintained. Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Penelitian ini bertujuan memberikan asuhan kebidanan komprehensif dan berkesinambungan pada Ny. N mulai masa kehamilan, persalinan, nifas, neonatus, hingga keluarga berencana. Penelitian menggunakan metode deskriptif dengan pendekatan studi kasus dan pendokumentasian SOAP. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi, dan studi pustaka pada Februari–Mei 2026. Hasil asuhan menunjukkan pada masa kehamilan ibu mengalami keputihan fisiologis dan diberikan asuhan rebusan daun sirih untuk membasuh organ intim. Persalinan berlangsung normal dengan penerapan Asuhan Persalinan Normal (APN) dan terapi komplementer massage efflurage. Pada masa nifas ibu mengatakan produksi ASI sedikit dan diberikan komplementer pijat oksitosin. Asuhan bayi baru lahir menunjukkan kondisi normal dengan pemberian vitamin K 1 mg, imunisasi Hepatitis B0, dan pemeriksaan SHK. Pada pelayanan KB, ibu memilih kontrasepsi suntik 3 bulan. Disarankan bagi tenaga agar tetap meningkatkan mutu pelayanan kebidanan secara berkesinambungan, melakukan deteksi dini tanda bahaya pada ibu dan bayi, memberikan KIE yang jelas dan mudah dipahami, mendukung keberhasilan ASI eksklusif, memastikan kelengkapan kunjungan nifas dan neonatus, serta melakukan konseling KB secara individual sesuai kondisi, kebutuhan, dan pilihan ibu sehingga kesehatan ibu dan bayi dapat terjaga secara optimal.

Laporan Contiunity of Care (COC) Asuhan Kebidanan Komperhensif pada Ny. I Umur 32 Tahun di Pustu Ruhui Rahayu Siti Nurkholifah; Heni Hirawati Pranoto
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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The Maternal Mortality Rate (MMR) and infant mortality in Bulungan Regency in 2024 experienced a significant increase compared to 2023. In 2023, the MMR was recorded at 3 cases, while in 2024 it increased to 8 cases. This condition indicates the need to improve maternal and child health services through comprehensive midwifery care. The purpose of this study was to provide comprehensive midwifery care for Mrs. I, covering pregnancy, childbirth, postpartum care, newborn care, and neonates in accordance with Varney’s 7-step Midwifery Management and documentation using the SOAP method. The method used in this study was a case study approach with data collection techniques including interviews, observations, physical examinations, supporting examinations, documentation studies, and literature reviews. The study was conducted from November 2025 until April 30, 2026. The results of midwifery care during pregnancy showed no discrepancies between theory and practice, enabling Mrs. I to undergo a normal delivery. In childbirth care, a discrepancy was found during the second stage of labor, where Early Initiation of Breastfeeding (EIBF) was carried out for only approximately 30 minutes. Care for the newborn male infant showed normal conditions without congenital abnormalities or danger signs. Monitoring during the postpartum period and neonatal care also proceeded normally without complications. In conclusion, comprehensive midwifery care for Mrs. I was successfully implemented from pregnancy, childbirth, postpartum care, to newborn care physiologically without complications. It is recommended that comprehensive care continue to be provided to monitor and improve the health of both mother and baby. Abstrak Angka kematin ibu dan anak kabupaten bulungan tahun 2024 8 kasus mengalami peningkatan yang signifikan jika dibandingkan tahun 2023. Tahun 2023 AKI-nya sebesar 0,003% per 100.000 KH (3 kasus), sedangkan pada tahun 2024 AKI-nya sebesar 0.008% per 100.000 KH (8kasus ). Tujuan penelitian Memberikan asuhan kebidanan pada Ny. I secara komprehensif dari asuhan kehamilan, persalinan, nifas, bayi baru lahir dan neonatus sesuai Menejemen Varney 7 langkah dan pendokumentasian dengan metode SOAP. Metode yang digunakan Dalam asuhan ini, penulis menggunakan metode pengumpulan data yaitu melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dimulai sejak tanggal November 2025 sampai dengan 30 April 2026. Pada asuhan kehamilan tidak ditemukan kesenjangan antara teori dan praktik, sehingga Ny. I dapat menjalankan persalinan dengan normal. Asuhan pada persalinan didapatkan kesenjangan pada kala II yaitu didapatkan IMD hanya dilakukan ± 30 menit. Asuhan kebidanan pada ibu bersalin kepada Ny. I Asuhan pada bayi baru lahir berjenis kelamin laki-laki, tidak ditemukan adanya cacat serta tanda bahaya. Kemudian pada pemantauan nifas serta bayi baru lahir berjalan dengan normal. Asuhan masa nifas tidak terdapat kesenjangan kesimpulan dari penatalaksanaan telah dilakukan asuhan komprehensif pada klien dari kehamilan, persalinan, dan nifas yang fisiologis tanpa penyulit. Sarannya yaitu Asuhan komprehensif perlu dilakukan agar kesehatan ibu dan bayi terpantau.

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Ida Sofiyanti

Contact Email
ekonurhermansyah@unw.ac.id

Phone
+6287747996725

Journal Mail Official
library@unw.ac.id

Editorial Address
Jl. Diponegoro no 186 Gedanganak, Ungaran Timur, Kabupaten Semarang

Location
Kab. semarang,

Jawa tengah

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ida Sofiyanti

Contact Email ekonurhermansyah@unw.ac.id

Phone +6287747996725

Journal Mail Official library@unw.ac.id

Editorial Address Jl. Diponegoro no 186 Gedanganak, Ungaran Timur, Kabupaten Semarang

Location Kab. semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ida Sofiyanti

Contact Email
ekonurhermansyah@unw.ac.id

Phone
+6287747996725

Journal Mail Official
library@unw.ac.id

Editorial Address
Jl. Diponegoro no 186 Gedanganak, Ungaran Timur, Kabupaten Semarang

Location
Kab. semarang,

Jawa tengah

INDONESIA